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Pennsylvania rates for HCPCS A4411

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.49 / $3.49 / $5.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $4.36 / $5.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.12 / $7.12 / $7.12
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $7.12 / $7.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $4.28 / $8.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $3.64 / $5.03
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $7.12 / $13.53
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $5.08 / $5.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.49 / $3.49 / $5.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $4.36 / $6.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.80 / $10.19 / $14.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $4.28 / $8.34
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $3.64 / $8.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.09 / $6.77 / $6.77
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $6.77 / $6.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.55 / $6.22